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Home My WebLink About332143 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 092000 • ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********55.58* x� CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 332143 9;I9oN"ice WINONA MN 5598 7-1 28 6 CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 ININ2213045 704.56 OTHER MAINT SUPPLIES 2201 4238900 ININ2213275 -246.99 OTHER MAINT SUPPLIES 2201 4238900 ININ819839 -36.29 OTHER MAINT SUPPLIES 2201 4238900 ININ823341 -672.30 OTHER MAINT SUPPLIES 2201 4238900 ININ826278 -28.98 OTHER MAINT SUPPLIES 2201 4238900 ININ833732 49.98 OTHER MAINT SUPPLIES 2201 4238900 ININ833768 117.76 OTHER MAINT SUPPLIES 2201 4238900 ININ833785 117.76 OTHER MAINT SUPPLIES 1206 4350900 ININ833837 10.45 OTHER CONT SERVICES 1206 4350900 ININ833865 22.56 OTHER CONT SERVICES 2201 4238900 ININ833867 17.07 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY IN SUM OF$ CITY OF CARMEL PO BOX 1286 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. WINONA, MN 55987-1286 Payee $33.01 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note.attached invoice(s)or bill(s)) AMOUNT ININ833837 43-509.00 $10.45 1 hereby certify that the attached invoice(s),or 10/30/18 ININ833837 Parts $10.45 1206 101 1206 101 ININ833865 43-509.00 $22.56 bill(s)is(are)true and correct and that the 10/31/18 ININ833865 Parts $22.56 1206 101 1 materials or services itemized thereon for 1206 1 101 which charge is made were ordered and received except I Monday, November 05,2018 Huffman, Dave Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer lksmwRemit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 10/30/2018 ININ833837 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 10.45 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 11/29/2018 ' Sold To Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W 131 ST ST 3400 W 131 ST ST WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase" posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 3 3 0 1/2"x14"ZincHex Lag 240153858 22388 348.3000 10.45 Y Received By Tax Exemption Subtotal 10.45 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 10.45 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice: ININ833837 cust: ININ80003 ® Remit to INVOICE FASTBIMLFastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 10/31/2018 ININ833865 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 D Job No. WESTFIELD, IN 46074 22.56 US Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 11/30/2018 Sold To Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131 ST ST 1010 Kendall Court,Suite 3 WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase" posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 200 200 0 1/4x1-1/4FPHTCSFZ 220023706 0143368 11.2800 22.56 Y Received By Tax Exemption Subtotal 22.56 0031201550-020 G Shipping&Handling 0.00 IN te Tax 0.00 Comments County Tax0.00 Contact:Eric Russell City Ta 0.00 Total 22.56 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice: ININ833865 Cust: ININ80003 Packing Slip FAMW"o Reference Date Page you IS The store serving10/30/18 I NNpp.M833837 1 CUst. NO. Cust. P.O. Job NO. 1010 Kendall Court,Suite 3 DUE DATE: 11/29/2018 ININ80003 WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037 S ip�'p QPA 13090 CARMEL STREET DEPT CAMEL STREET DEPT. 3400 W 131ST ST . 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) -_ - — --- WESTFIELD,IN 46074 317-733-2001 This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity QuantityDescription Control Part No. Pnce Amount No. Ordered Shipped Backorder No. 1 3 3 0 1/2NIT'ZincHex Lag 240153858 22388 1l Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Jim Bentley County Tax City Tax TOTAL USD If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. ' Reasonable collection and attorneys fees will be assessed to all a punts�plaped forcolleotipn o materials accepte or retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *19673* *indicates part was sold at a promotional or special discount price I IIIIII I III VIII I I VIII IIII IIII FORM -IN13 Packing Slip Reference DatePage The store serving you is 10/31/18 INMIIVVOp..833865 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:11/30/2018 ININ80003 WESTFIELD,IN 46074 Phone M 317-804-8035 Contract No: Old Tpo Fax M 317-804-8037 Ship To QPA 13090 ARMEL STREET DEPT. Picked up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com. Line Quantity Quantity Quantity Description Control Part No. Price Amount No. Ordered Shipped Backorder No. I 200 200 0 1/4x1-1/4 FPH TCSF Z 220023706 0143368 l� `7 Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Eric Russell County Tax City Tax TOTAL USD If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be zssessed to all act unfs�laced for collectim o materials accepte or retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *19689* *indicates part was sold at a promotional or special discount price I IIIIII I III VIII VIII VIII IIII IIII FORM -NB VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY IN SUM OF$ CITY OF CARMEL PO BOX 1286 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price-per unit,etc. WINONA, MN 55987-1286 Payee $22.57 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ININ819839 42-389.00 . ($36.29) 1 hereby certify that the attached invoice(s), or 10/27/15 ININ819839 Credit ($36.29) 2201 2201 Prior Year 2201 2201 ININ823341 42-389.00 ($672.30) bill(s)is(are)true and correct and that the 8/9/16 ININ823341 Credit ($672.30) 2201 2201 1 Prior Year materials or services itemized thereon for 2201 2201 ININ826278 42-389.00 ($28.98) 3/23/17 ININ826278 Credit ($28.98) 2201 2201 Prior Year which charge is made were ordered and 2201 2201 ININ2213045 42-389.00 $704.56 received except 9/19/18 ININ2213045 Supplies $704.56 2201 2201 2201 2201 ININ2213275 42-389.00 ($246.99) 9/27/18 ININ2213275 Credit ($246.99) 2201 2201 2201 2201 ININ833732 42-389.00 $49.98 10/23/18 ININ833732 Supplies $49.98 2201 2201 2201 2201 ININ833768 42-389.00 $117.76 10/25/18 ININ833768 Supplies $117.76 2201 2201 Monday, November 05,2018 2201 2201 ININ833785 42-389.00 $117.76 ^ 10/26/18 ININ833785 Supplies $117.76 2201 2201 / JLC 2201 2201 ININ833867 42-389.00 $17.07 10/31/18 ININ833867 Supplies $17.07 2201 2201 Huffman, Dave 2201 2201 Director I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Invoice Date Invoice No. Winona,MN 55987-1286 USA 10/27/2015 ININ819839 Invoice Total Cust.No. ININ80003 For billing questions -36.29 USD Cust.P.O. truck 57 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 MERCHANDISE Orig.Invoice No. Contract No. QPA 13090 RETURN ININ819661 Phone: 317-804-8035 Sold To Fax: 317-804-8037 Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131ST ST 1010 Kendall Court,Suite 3 WESTFIELD, IN 46074-8267 USA WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com. Line No Quantity Quantity Quantity Description Control No. Part No. Price/ Amount Ordered Shipped Backorder Hundred 1 -4 -4 0 S/S HCS 5/8-11 X 5 110051750 70323 503.2500 -20.13 N 2 -3 -3 0 S/S HCS 5/8-11X5 1/2 110051750 70324 538.5000 -16.16 N Received By Tax Exemption Subtotal -36.29 Shipping&Handling 0.00 IN State Tax 0.00 County Tax 0.00 Comments City Tax 0.00 Contact:Jim Bentley Total -36.29 Reasonable collection and attorneys fees will be assessed to all No materials accepted for return without our permission. accounts placed for collection. All discrepancies must be reported within 10 days. Please pay from this invoice. If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Invoice: ININets83s oust: ININa0003 Printed in USA ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O.Box 1286 Invoice Date Invoice No. Winona, MN 55987-1286 USA 08/09/2016 ININ823341 Invoice Total Cust.No. ININ80003 For billing questions -672.30 USD Cust.P.O. Temporary Parking Signs 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 MERCHANDISE Orig.Invoice No. Contract No. QPA 13090 RETURN ININ823179 Phone: 317-804-8035 Sold To Fax: 317-804-8037 Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131 ST ST 1010 Kendall Court,Suite 3 WESTFIELD, IN 46074-8267 USA WESTFIELD,IN 46074 This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com. Line No Quantity Quantity Quantity Description Control No. Part No. Price/ Amount Ordered Shipped Backorder Hundred 1 -1,500 -1,500 0 5/16-18x2.75 HCS S/S 240076248 70064 44.8200 -672.30 N Received By Tax Exemption Subtotal -672.30 Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Mark City Tax 0.00 Total -672.30 Reasonable collection and attorneys fees will be assessed to all No materials accepted for return without our permission. accounts placed for collection. All discrepancies must be reported within 10 days. Please pay from this invoice. If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Invoice: ININ823341 Cost: ININ80003 Printed in USA ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O.Box 1286 Invoice Date Invoice No. Winona,MN 55987-1286 USA 03/23/2017 ININ826278 Invoice Total Cust.No. ININ80003 For billing questions -28.98 USD Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 MERCHANDISE Orig.Invoice No. Contract No. QPA 13090 RETURN ININ826185 Phone: 317-804-8035 Sold To Fax: 317-804-8037 Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W 131ST ST 3400 W 131ST ST WESTFIELD, IN 46074-8267 USA WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com. Line No Quantity Quantity Quantity Description Control No. Part No. Price/ Amount Ordered Shipped Backorder Hundred 1 -52 -52 0 T-B CNCTBLT1/4X50BLK 220022008 0140694 9.3500 -4.86 N 2 -258 -258 0 T-B CNCTBLT1/4X50BLK 220022008 0140694. 9.3500 -24.12 N Received By Tax Exemption Subtotal -28.98 0031201550-020 Shipping&Handling 0.00 G IN State Tax 0.00 Comments County Tax 0.00 City Tax 0.00 Contact:Jim Bentley Total -28.98 Reasonable collection and attorneys fees will be assessed to all No materials accepted for return without our permission. accounts placed for collection. All discrepancies must be reported within 10 days. Please pay from this invoice. If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Invoice: ININ826278 Gust: ININ80003 Printed in USA ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O.Box 1286 Invoice Date Invoice No. Winona, MN 55987-1286 USA 09/19/2018 ININ2213045 Due Date Invoice Total Cust.No. ININ20009 For billing questions 10/19/2018 753.88 USD Cust.P.O. Steve Zeller 14775 Herriman Blvd Job No. NOBLESVILLE, IN 46060 Contract No. Phone: (317)770-0649 Sold To Fax: (317)770-4279 Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131ST ST 14775 Herriman Blvd CARMEL, IN 46074-8267 USA NOBLESVILLE,IN 46060 This Order and Document is subject to the"Terms of Purchase"posted on www.fas,tenal.com. Line No Quantity Quantity Quantity Description Control No. Part No. Price/ Amount Ordered Shipped Backorder Hundred 1 500 500 0 CB3/8-16X2.5 GALV KG 120268676 28342 82.9700 414.85 T 2 500 500 0 GALV L/W 3/8 120314301 33782 12.6100 63.05 T 3 500 500 0 3/8"-16 Hex Nut Galy 120312547 36705 15.4100 77.05 T 4 250 250 0 12-24x2-1/4FPhTk4w/W 120322669 1132086 31.6100 79.03 T 5 200 200 0 12-24x2-3/4FPhTk4w/W 120326094 1132087 35.2900 70.58 T Received By Tax Exemption ` Subtotal 704.56 Shipping&Handling 0.00 IN State Tax 49.32 Comments County Tax 0.00 Contact:Steve Zeller City Tax 0.00 Total 753.88 Reasonable collection and attorneys fees will be assessed to all No materials accepted for return without our permission. accounts placed for collection. All discrepancies must be reported within 10 days. Please pay from this invoice. If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Invoice: ININ2213045 oust: ININ20009 Printed in USA ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O.Box 1286 Invoice Date Invoice No. Winona,MN 55987-1286 USA 09/27/2018 ININ2213275 Invoice Total Cust.No. ININ20009 For billing questions -264.28 USD Cust.P.O. Steve Zellaer 14775 Herriman Blvd Job No. NOBLESVILLE, IN 46060 MERCHANDISE Orig.Invoice No. Contract No. RETURN ININ2213192 Phone: (317)770-0649 Sold To Fax: (317)770-4279 Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131ST ST 14775 Herriman Blvd CARMEL, IN 46074-8267 USA NOBLESVILLE, IN 46060 This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com. Line No Quantity Quantity Quantity Description Control No. Part No. Price/ Amount Ordered Shipped Backorder Hundred 1 1 1 0 18VDriIllmpctDivrKit 120334188 0253215 24,699.0000 -246.99 T Received By Tax Exemption Subtotal -246.99 Shipping&Handling 0.00 IN State Tax -17.29 Comments County Tax 0.00 Contact:Steve Zeller City Tax 0.00 Total -264.28 Reasonable collection and attorneys fees will be assessed to all No materials accepted for return without our permission. accounts placed for collection. All discrepancies must be reported within 10 days. Please pay from this invoice. If you re-package or re-sell this product,you are required to maintain Integrity of Country of Origin to the Consumer of this product. Invoice: ININ2213276 Cust: ININ20009 Printed in USA ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 10/23/2018 ININ833732 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 49.98 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 11/22/2018 Sold To Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131 ST ST 1010 Kendall Court,Suite 3 WESTFIELD,IN 46074-8267 WESTFIELD,-IN 46074 This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 200 200 0 15"Black MH CableTie 120337157 0775487 24.9900 49.98 Y Received By Tax Exemption Subtotalhipping&Handling 49.98 0.00 0031201550-020 G IN State Tax 0.00 Comments County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 49.98 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice: ININ833732 Cust: ININ80003 - ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 10/25/2018 ININ833768 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 117,76 USD Job No. WESTFIELD, IN 46074 Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 11/24/2018 Sold To Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131ST ST 1010 Kendall Court,Suite 3 WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase" posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 6 6 0 Brawny Wipe Bkt 84Ct GEORPF 0608930 1,962.7300 117.76 Y Received By Tax Exemption Subtotal &Handling 1 i 776 0031201550-020 G Shippi00 INS ate Tax g . 0.00 Comments County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 117.76 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection: All discrepancies must be reported within 10 days. If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice: ININ833768 Cust: ININ80003 ® Remit to INVOICE li4 Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 10/26/2018 ININ833785 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 117.76 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 11/25/2018 Sold To Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W 131 ST ST 3400 W 131 ST ST WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase" posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 6 6 0 Brawny Wipe Bkt 84Ct GEORPF 0608930 1,962.7300 117.76 Y Received By Tax Exemption Subtotal 117.76 0031201550-020 G Shipping&Handling 0.00 IN te Tax 0.00 Comments County T x 0.00 Contact:Jim Bentley City Tx 0.00 Total 117.76 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice: ININ833785 oust: ININ80003 ® Remit to INVOICE FASTBIMLFastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 10/31/2018 ININ833867 For billing questions Cust.No. ININ80003Invoice Total Cust.P.O. 0 depth fountain tree 1010 Kendall Court,Suite 3 p WESTFIELD, IN 46074 17.07 USD Job No. Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 11/30/2018 Sold To Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131ST ST 1010 Kendall Court,Suite 3 WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074 This Order and Document is subject to the"Terms of Purchase" posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 70 70 0 MALL CC 3/16 120327514 43402 21.8000 15.26 Y 2 100 100 0 1/4"-20 FHN Z 120290874 1136102 1.8100 1.81 Y Received By Tax Exemption Subtotal 17.07 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 17.07 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice: ININ833867 Cust: ININ80003 Packing Slip Reference DateNNpp.. Page The store serving you is 10/23/18 IM833732 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE: 11/22/2018 ININ80003 WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: SOid Tp Fax#:317-804-8037 Shlp TO QPA 13090 CARMEL STREET DEPT. Picked up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com. Line Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No: Hundred Amount 1 200 200 0 15"Black MH CableTie 120337157 0775487 24.9900 49.98 G f 1 Received By Tax Exemption Subtotal 49.98 Shipping&Handling Comments This packing slip may State Tax Contact:Jim Bentley may be subject to County Tax tax depending on City Tax your status. TOTAL USD If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be assessed to all acuntslaeed forcolleetipn o materials accepte or returnwithout our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *19622* *indicates part was sold at a promotional or special discount price 1111111 III I VIII VIII VIII IIII IIII FORM-IN13 Packing Slip 0 FASM" Reference Date NNpp. Page The store serving you is 10/25/18 IM833768 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE: 11/24/2018 ININ80003 WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: SO//d Top Fax#:317-804-8037 Shlp TO QPA 13090 CAItIvIEL STREET DEPT. Picked up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com. Line Quantity Quantity Quantity Description Part No. Amount Control Price/ No. Ordered Shipped Backorder No Hundred 1 6 6 0 Brawny Wipe Bkt 84Ct georpf 0608930 1,962.7300 117.76G Received By Tax Exemption Subtotal 117.76 Shipping&Handling Comments This packing slip may State Tax Contact:Jim Bentley may be subject to County Tax tax depending on City Tax your status. TOTAL USD If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. J Reasonable collection and attorneys fees will be Imo' assessed to all ac��untuiaced for collection o me accepte or retu n withou our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. "19637" `indicates part was sold at a promotional or special discount price I IIIIII VIII VIII VIII IIII IIII III) FORM -IN13 Packing Slip Reference DateI Page The store serving you is 10/26/18 ININN(�pp,,833785 t Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3, DUE DATE: 11/25/2018 ININ80003 WESTFIELD,IN 46074 �/�� pp T? Phone M 317-804-8035 Contract No: QPA 13090 $OAId STREET DEPT. Fax/!:317-804-8037 Swa STREET DEPT. 3400 W 131ST ST 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) WESTFIELD,IN 46074 This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity. Quantity Quantlty Description Control Part No. Price/ Amount No. Ordered Shipped Backorder No. 1 6 6 0 Brawny Wipe Bkt 84Ct georpf 0608930 i Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Jin,Bentley County Tax City Tax TOTAL USD If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be assessed to all a punts�laeed for collection o materials accepte or retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *19644* *indicates part was sold at a promotional or special discount price I IIIIII VIII VIII II I I I I III IIII FORM -IN13 Packing Slip FAVEML Reference Date Page NNpp. The store serving you is 10/31/18 MIIJ833867 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE: 11/30/2018 MM80003 0 depth fountain tree WESTFIELD,M 46074 Phone#:317-804-8035 Contract No: So d]'pp Fax#:317-804-8037 ShipTo QPA 13090 CA EL STREET DEPT. Picked up at Fastenal Store. 3400 W 131ST ST WESTFIELD,M 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity Quantity Description Control Part No. Price/ Amount No. Ordered Shipped Backorder No. 1 100 100 0 1/4"-20 FHN Z 120290874 1136102 2 70 70 0 MALL CC 3/16 120327514 43402 � l Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Jim Bentley County Tax City Tax TOTAL USD If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be aassessed to all acppunts�plap edorcolleC6pn No matenals accepted for retu n withou our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *19691* *indicates part was sold at a promotional or special discount price 1111111 I III IIID VIII VIII IIII IIII FORM -IN13